Laparoscopic Right Colectomy (Right Hemicolectomy) Questions & Answers

1. Clinical Outcomes of Surgical Therapy Study Group., Nelson H, Sargent DJ, Wieand HS, Fleshman J, Anvari M, et al. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004 May 13. 350 (20):2050-9. [QxMD MEDLINE Link].

2. Wei D, Johnston S, Goldstein L, Nagle D. Minimally invasive colectomy is associated with reduced risk of anastomotic leak and other major perioperative complications and reduced hospital resource utilization as compared with open surgery: a retrospective population-based study of comparative effectiveness and trends of surgical approach. Surg Endosc. 2020 Feb. 34 (2):610-621. [QxMD MEDLINE Link].

3. Sonoda T, Milsom JW. Segmental colon resection. Souba WW, Fink MP, Jurkovich GJ, et al, eds. ACS Surgery: Principles & Practice. 6th ed. New York: WebMD; 2007. 921-32.

4. Larson DW, Nelson H. Laparoscopic colectomy for cancer. J Gastrointest Surg. 2004 Jul-Aug. 8 (5):636-42. [QxMD MEDLINE Link].

5. Offodile AC 2nd, Lee SW, Yoo J, Whelan RL, Moradi D, Baxter R, et al. Does prior abdominal surgery influence conversion rates and outcomes of laparoscopic right colectomy in patients with neoplasia?. Dis Colon Rectum. 2008 Nov. 51 (11):1669-74. [QxMD MEDLINE Link].

6. Netz U, Galandiuk S. Clinical anatomy for procedures involving the small bowel, colon, rectum, and anus. Fischer J, Ellison EC, Upchurch GR Jr, Galandiuk S, Gould JC, Klimberg VS, et al, eds. Fischer's Mastery of Surgery. 7th ed. Philadelphia: Wolters Kluwer; 2019. Vol 2: Chap 141.

7. Sakorafas GH, Zouros E, Peros G. Applied vascular anatomy of the colon and rectum: clinical implications for the surgical oncologist. Surg Oncol. 2006 Dec. 15 (4):243-55. [QxMD MEDLINE Link].

8. Garćia-Ruiz A, Milsom JW, Ludwig KA, Marchesa P. Right colonic arterial anatomy. Implications for laparoscopic surgery. Dis Colon Rectum. 1996 Aug. 39 (8):906-11. [QxMD MEDLINE Link].

9. Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum. Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed. Philadelphia: Elsevier; 2017. 1312-93.

10. Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002 Jun 29. 359 (9325):2224-9. [QxMD MEDLINE Link].

11. Arezzo A, Passera R, Ferri V, Gonella F, Cirocchi R, Morino M. Laparoscopic right colectomy reduces short-term mortality and morbidity. Results of a systematic review and meta-analysis. Int J Colorectal Dis. 2015 Nov. 30 (11):1457-72. [QxMD MEDLINE Link].

12. Yun JA, Yun SH, Park YA, Cho YB, Kim HC, Lee WY, et al. Single-incision laparoscopic right colectomy compared with conventional laparoscopy for malignancy: assessment of perioperative and short-term oncologic outcomes. Surg Endosc. 2013 Jun. 27 (6):2122-30. [QxMD MEDLINE Link].

13. Pedraza R, Aminian A, Nieto J, Faraj C, Pickron TB, Haas EM. Single-incision laparoscopic colectomy for cancer: short-term outcomes and comparative analysis. Minim Invasive Surg. 2013. 2013:283438. [QxMD MEDLINE Link]. [Full Text].

14. Solaini L, Bazzocchi F, Cavaliere D, Avanzolini A, Cucchetti A, Ercolani G. Robotic versus laparoscopic right colectomy: an updated systematic review and meta-analysis. Surg Endosc. 2018 Mar. 32 (3):1104-1110. [QxMD MEDLINE Link].

15. Bouvet M, Mansfield PF, Skibber JM, Curley SA, Ellis LM, Giacco GG, et al. Clinical, pathologic, and economic parameters of laparoscopic colon resection for cancer. Am J Surg. 1998 Dec. 176 (6):554-8. [QxMD MEDLINE Link].

16. Philipson BM, Bokey EL, Moore JW, Chapuis PH, Bagge E. Cost of open versus laparoscopically assisted right hemicolectomy for cancer. World J Surg. 1997 Feb. 21 (2):214-7. [QxMD MEDLINE Link].

17. Smith AJ, Driman DK, Spithoff K, Hunter A, McLeod RS, Simunovic M, et al. Guideline for optimization of colorectal cancer surgery and pathology. J Surg Oncol. 2010 Jan 1. 101 (1):5-12. [QxMD MEDLINE Link].

18. Baća I, Perko Z, Bokan I, Mimica Z, Petricević A, Druzijanić N, et al. Technique and survival after laparoscopically assisted right hemicolectomy. Surg Endosc. 2005 May. 19 (5):650-5. [QxMD MEDLINE Link].

19. Schulte Am Esch J, Iosivan SI, Steinfurth F, Mahdi A, Förster C, Wilkens L, et al. A standardized suprapubic bottom-to-up approach in robotic right colectomy: technical and oncological advances for complete mesocolic excision (CME). BMC Surg. 2019 Jul 1. 19 (1):72. [QxMD MEDLINE Link].

20. Zhang D, Wang XC, Yang ZX, Gan JX, Pan JB, Yin LN. Preoperative chlorhexidine versus povidone-iodine antisepsis for preventing surgical site infection: A meta-analysis and trial sequential analysis of randomized controlled trials. Int J Surg. 2017 Aug. 44:176-184. [QxMD MEDLINE Link].

21. Su Y, Wu SD, Kong J, Yu H, Fan Y, Tian Y. Single Incision Laparoscopic Colorectal Surgery Using Conventional Laparoscopic Instruments: Initial Experience with 44 Cases. J Invest Surg. 2015. 28 (6):341-5. [QxMD MEDLINE Link].

22. Yun JA, Kim HC, Park JS, Cho YB, Yun SH, Lee WY. Perioperative and oncologic outcomes of single-incision laparoscopy compared with conventional laparoscopy for colon cancer: an observational propensity score-matched study. Am Surg. 2015 Mar. 81 (3):316-23. [QxMD MEDLINE Link].

23. Park Y, Yong YG, Yun SH, Jung KU, Huh JW, Cho YB, et al. Learning curves for single incision and conventional laparoscopic right hemicolectomy: a multidimensional analysis. Ann Surg Treat Res. 2015 May. 88 (5):269-75. [QxMD MEDLINE Link].

24. Vignali A, Bissolati M, De Nardi P, Di Palo S, Staudacher C. Extracorporeal vs. Intracorporeal Ileocolic Stapled Anastomoses in Laparoscopic Right Colectomy: An Interim Analysis of a Randomized Clinical Trial. J Laparoendosc Adv Surg Tech A. 2016 May. 26 (5):343-8. [QxMD MEDLINE Link].

25. Vignali A, Elmore U, Lemma M, Guarnieri G, Radaelli G, Rosati R. Intracorporeal versus Extracorporeal Anastomoses Following Laparoscopic Right Colectomy in Obese Patients: A Case-Matched Study. Dig Surg. 2018. 35 (3):236-242. [QxMD MEDLINE Link].

26. Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg. 2004 Nov. 139 (11):1248-56. [QxMD MEDLINE Link].

27. Varela JE, Asolati M, Huerta S, Anthony T. Outcomes of laparoscopic and open colectomy at academic centers. Am J Surg. 2008 Sep. 196 (3):403-6. [QxMD MEDLINE Link].

28. Rondelli F, Trastulli S, Avenia N, Schillaci G, Cirocchi R, Gullà N, et al. Is laparoscopic right colectomy more effective than open resection? A meta-analysis of randomized and nonrandomized studies. Colorectal Dis. 2012 Aug. 14 (8):e447-69. [QxMD MEDLINE Link].

29. Lin KM, Ota DM. Laparoscopic colectomy for cancer: an oncologic feasible option. Surg Oncol. 2000 Nov. 9 (3):127-34. [QxMD MEDLINE Link].

30. Kwak HD, Kim SH, Kang DW, Baek SJ, Kwak JM, Kim J. Risk Factors and Oncologic Outcomes of Anastomosis Leakage After Laparoscopic Right Colectomy. Surg Laparosc Endosc Percutan Tech. 2017 Dec. 27 (6):440-444. [QxMD MEDLINE Link].

31. Moloo H, Mamazza J, Poulin EC, Burpee SE, Bendavid Y, Klein L, et al. Laparoscopic resections for colorectal cancer: does conversion survival?. Surg Endosc. 2004 May. 18 (5):732-5. [QxMD MEDLINE Link].

Jana L Lewis, MD Resident Physician, Department of Surgery, Maimonides Medical Center

Disclosure: Nothing to disclose.

Danny A Sherwinter, MD Attending Surgeon, Department of Mimially Invasive Surgery and Bariatrics, Associate Program Director, Department of Surgery, Maimonides Medical Center; Director of Minimally Invasive and Bariatric Surgery, American Society for Metabolic and Bariatric Surgery (ASMBS) Center of Excellence

Danny A Sherwinter, MD is a member of the following medical societies: American College of Surgeons, American Society for Metabolic and Bariatric Surgery, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoscopic and Robotic Surgeons

Disclosure: Nothing to disclose.

Sunny Leah Fink, MD Multi-Organ Abdominal Transplant Fellow, Department of Transplant Surgery, University of Pittsburgh Medical Center

Sunny Leah Fink, MD is a member of the following medical societies: American College of Surgeons, American Medical Student Association/Foundation

Disclosure: Nothing to disclose.

Silvio Ghirardo, MD Resident Physician, Department of General Surgery, Maimonides Medical Center

Disclosure: Nothing to disclose.

Sergey Terushkin, MD Bariatric and Minimally Invasive Surgery, New York

Sergey Terushkin, MD is a member of the following medical societies: American College of Surgeons, American Medical Association

Disclosure: Nothing to disclose.

Harry L Adler, MD Assistant Clinical Professor of Surgery, Mount Sinai Hospital; Assistant Director and Consulting Physician, Maimonides Medical Center

Harry L Adler, MD is a member of the following medical societies: American Association for Physician Leadership, American College of Surgeons, Association for Academic Surgery

Disclosure: Nothing to disclose.

Kurt E Roberts, MD Associate Professor, Division of Bariatric and Minimally Invasive Surgery, Department of Surgery, Yale University School of Medicine; Chair, Department of Surgery, Saint Francis Hospital, Trinity Health of New England Medical Group

Kurt E Roberts, MD is a member of the following medical societies: American College of Surgeons, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoscopic and Robotic Surgeons

Disclosure: Nothing to disclose.

Maimonides Medical Center Group would like to thank Courtney Schlow for creating the above illustrations.

Medscape Reference thanks SAGES for the single incision right hemicolectomy video in this article.

• Print this section
• Print the entire contents of
• Print the entire contents of article